| NPI | 1265056923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA 61272478) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA rn60282717) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2026-07-22 |